Provider Demographics
NPI:1609496959
Name:BYERS, CAROLINE (COTA/L)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:BYERS
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12371 COTTAGE WOODS DR
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-7844
Mailing Address - Country:US
Mailing Address - Phone:804-539-2414
Mailing Address - Fax:
Practice Address - Street 1:12371 COTTAGE WOODS DR
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-7844
Practice Address - Country:US
Practice Address - Phone:804-539-2414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant